LAKELAND OAKS NH LLC (NPI# 1912465923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912465923 |
| Entity Type | Organization |
| Organization Name | LAKELAND OAKS NH LLC |
| Practice Address |
855 Carpenters Way Lakeland FL 33809 |
| Mailing Address |
4042 Park Oaks Blvd Ste 300 Tampa FL 33610-9539 |
| Practice Telephone | 8136359500 |
| Mailing Telephone | 8136359500 |
| Mailing Fax Number | 8136350008 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Authorized Official Name | CHRISTINE GOULART (A/R SUPERVISOR) |
| Authorized Official Telephone | 8136752289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
855 CARPENTERS WAY |
| City | LAKELAND |
| State | FL |
| Zip Code | 33809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018178 | John C Gallik | Military Health Care Provider | 3176 Corporal Johnson Road, Jbsa Fort Sam Houston, TX 33809 | 2020-06-23 |
| 1376189209 | Julie Independence Tomchak | Nurse's Aide | 7805 Us Highway Lot 29 # 98 N, Lakeland, FL 33809 | 2019-11-26 |
| 1235528753 | Christia Mccann | Physician Assistant | 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 | 2015-01-21 |
| 1548679616 | Ashley Frances Hamarowicz | Physical Therapist | 771 Carpenters Way, Lakeland, FL 33809 | 2014-08-04 |
| 1750700860 | Grace Manor Suites | Assisted Living Facility | 4620 N Socrum Loop Road, Lakeland, FL 33809 | 2014-04-16 |
| 1164769980 | Christopher Fisher | Hearing Instrument Specialist | 3800 North Rd 98, Ste 500, Lakeland, FL 33809 | 2013-01-14 |
| 1023374063 | Eagle Lake Pharmacy Inc | Pharmacy | 5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809 | 2012-04-04 |
| 1851669675 | Reginald Keith Jenkins | Pharmacist | 1043 Walt Williams Road, Lakeland, FL 33809 | 2011-12-07 |
| 1578859633 | Jill Margaret Waldrop | Pharmacist | 6600 N. Socrum Loop, Lakeland, FL 33809 | 2011-06-27 |
| 1154598555 | Mission Health & Massage Inc. | Massage Therapist | 930 Marcum Road Suite 5, Lakeland, FL 33809 | 2008-05-14 |
| Find all providers in zip 33809 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490966 | Lakeland Snf Investors LLC | Skilled Nursing Facility | 800 E County Road 540a, Lakeland, FL 33813-4650 | 2017-11-09 |
| 1396147237 | Lamisha Williams | Skilled Nursing Facility | 744 Park Hill Ave, Lakeland, FL 33801-5533 | 2014-09-23 |
| 1043619471 | Lorraine Stocki | Skilled Nursing Facility | 1350 Sleepy Hill Rd Fl 33810, Lakeland, FL 33810-3800 | 2014-08-21 |
| 1508105958 | Stella Goff | Skilled Nursing Facility | 4435 Galloway Ln, Lakeland, FL 33810-6705 | 2013-02-05 |
| 1770689887 | Carpenters Home Estates Inc | Skilled Nursing Facility | 1001 Carpenters Way, Lakeland, FL 33809-3956 | 2006-09-15 |
| 1366483133 | Op Lake Parker, Inc. | Skilled Nursing Facility | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2006-06-10 |
| 1518907039 | Tandem Health Care of Lakeland, Inc. | Skilled Nursing Facility | 5245 N Socrum Loop Rd, Lakeland, FL 33809-4253 | 2006-06-07 |
| 1083660427 | Lakeland Health Care Associates LLC | Skilled Nursing Facility | 1010 Carpenters Way, Lakeland, FL 33809-3926 | 2006-05-26 |
| 1841246329 | Oakbridge Health Care Associates LLC | Skilled Nursing Facility | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2006-05-26 |
| 1366430399 | Highlands Lake Center, LLC | Skilled Nursing Facility | 4240 Lakeland Highlands Rd, Lakeland, FL 33813-3113 | 2005-10-13 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.